Inspection on 24/02/06 for Wentworth House

This inspection was carried out on 24th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wentworth House 07/09/07

Wentworth House 22/12/06

Wentworth House 27/10/05

Wentworth House 10/11/04

Wentworth House 26/05/04

Wentworth House 28/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Wentworth House 8 Blantyre Road Swinton Gtr Manchester M27 5ER Lead Inspector Adele Berriman Unannounced Inspection 24th February 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wentworth House Address 8 Blantyre Road Swinton Gtr Manchester M27 5ER Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0161 793 9090 Mr Antonio Belvedere Mrs Christine Belvedere Care Home 19 Category(ies) of Learning disability over 65 years of age (1), Old registration, with number age, not falling within any other category (18) of places Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service user category (LD) (E) is specifically for one named individual. If this person leaves the service user category will revert to (OP). 27th October 2005 Date of last inspection Brief Description of the Service: Wentworth House is a home that provides residential care for up to 19 service users over the age of 65. The home is situated on a quiet residential road in the Swinton area of Salford. The home is situated close to local amenities and close to public transport routes. Bedrooms are situated on both the ground and first floor of the accommodation. A passenger lift serves both floors. There are several communal lounges and two communal dining rooms that are situated on the ground floor of the accommodation. The home continues with on-going refurbishment to provide a pleasant environment. Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on 24th February 2006. During the course of the inspection time was spent talking to a number of residents, a member of staff and the managers of the home. Examination of records, care plans, medication records, polices and procedures relating to the home took place. The home continues to provide long stay accommodation. Throughout the inspection the inspector observed a pleasant atmosphere around the home with lots of conversation taking place between residents, staff and visitors. The home was very clean and tidy and was pleasantly furnished to meet the needs of the residents. Not all of the standards were inspected during this inspection. It is strongly advised that this report is read in conjunction with the previous report. What the service does well: What has improved since the last inspection? Further improvements had been made in the content of the homes Service Users Guide and Statement of Terms and Conditions. Further development of these documents is still required to ensure that they fully demonstrate the service that is offered by the home. Since the previous inspection a member of staff had taken on the role of full time cook. This action will now ensure that the staff on duty can fully dedicate their time to care duties within the home. Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 6 All staff had watched an awareness training video on the protection of vulnerable people. Two staff had attended a health and safety course and two staff had completed Salford’s training partnerships induction programme. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 The service user guide does not reflect the service delivered in the home. Once in use, the pre-admission assessment should collate all the needs and wishes of perspective residents. EVIDENCE: The home’s recently revised service user guide was in draft form. The majority of the information that is needed to be contained in the document was there. The manager needs to ensure that all the information listed in schedule 1 of the Care Homes Regulations is included, for example, the staffing structure in the home, a copy of the fire evacuation procedures, what arrangements the home has for residents to attend religious services of their choice. The manager has recently revised the terms and conditions given to residents when they commence living at the home. This document explains what accommodation is offered by the home and any additional charges. However, the document does not state in full what room is to be occupied, the rights and obligations of the resident and registered provider and who is liable if there is a breech of contract, the period of notice required when a placement ceases or notice is given. The document also needs to contain specific information about Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 9 additional costs for additional products such as continence products/specialist hand washes and any other items not included in the weekly fee. Following a requirement made in the previous report the manager of the home was in the process of devising a new pre-admission assessment for use when assessing if the home can meet an individuals needs. The inspector viewed some of the new documents and the content appeared detailed. The manager stated that the assessment format would be introduced and in use within the near future. Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,9 Resident’s needs and wishes are not fully reflected in individual care plans. The staff and management of the home ensure that residents receive the appropriate healthcare support from local care professionals. EVIDENCE: Individual care plans were available for each resident. The majority of care plans contained personal information, residents daily routines, information on the residents life prior to moving into the home, risk assessments, physical and mobility needs etc. However, not all care plans contained consistent up to date information and therefore did not demonstrate what care and support needs were being met by the staff team. Following a requirement made during the previous report the manager stated that a new format for documenting residents needs and wishes was being devised. The requirement that care plans and risk assessments are reviewed and updated on a regular basis and contain all the information required about the individuals needs and wishes is reiterated in this report. Records and documents contained on files clearly demonstrated that residents had access to health professionals when required. There was evidence of Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 11 regular visits from the peoples GP and the local district nursing team. An optician visits the home on a regular basis. The home had a policy for the storage, handling and administration of medication. Medication within the home was stored appropriately. Medication Administration Records (MAR) were supplied by the dispensing pharmacist. However, some of the MAR sheets did not contain all the information required regarding the resident’s full details or information relating to the dosage of medication. The manager of the home said that they would address this issue with the pharmacist. Some MAR sheets also contained handwritten entries onto the sheets that did not contain all the required details. Medication Administration Records demonstrated that residents were being administered their medication by staff. However, some staff had ‘ticked’ and not signed to say that they had applied a cream to a service user. Prior to taking on the role of administering medication staff receive training from the managers of the home. Staff are also required to complete a written workbook on the subject of medication. At the time of the inspection the manager of the service was discussing with the local joint agency to access training in the administration of medication. The dispensing pharmacist carries out an annual visit to the home the assess their management of medication. Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12-month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,14,15 Visitors are welcomed into the home. Residents are happy with the meals that are served at the home. EVIDENCE: Residents confirmed to the inspector that they were able to receive visitors at all times. The visitor’s book demonstrated that some residents received visitors on a regular basis throughout the day and evening. Information for relatives and visitors on what services are offered by the home is contained in the homes residents guide that was in draft form at the time of the inspection. Information was available to residents, their families and their representatives relating to how to access local advocacy services for an independent person who will act in their interests. This information was clearly displayed in the hallway of the home. Meals are served in communal dining rooms on the ground floor of the accommodation. Service users spoke positively about the food that was prepared and cooked at the home. Staff demonstrated a good knowledge of residents likes and dislikes relating to food and drinks. There was a selection of fresh, frozen, tinned and frozen foods available in the home to meet resident’s needs. Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12-month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Information is available to support staff should they need to deal with an allegation of abuse. However, staff would also benefit from further awareness training in this subject. EVIDENCE: The home had a policy on the protection of vulnerable adults along with a copy of Salford Social Services joint agency adult abuse policy. A requirement was made in the previous inspection report that all staff receives awareness training in adult protection. The manager stated that since this requirement was made all staff had watched an awareness video on adult protection and it was planned that all staff would watch this training and information video again. It is strongly recommended in this report that all staff receive further awareness training that informs them of how to raise a concern using the Salford Social Services joint agency policy on adult abuse. Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12-month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25 Although hot water temperatures are tested on a regular basis there is some evidence that further work is required regarding the monitoring and maintenance of hot water temperatures. EVIDENCE: A requirement was made in the previous inspection report that hot water temperatures were monitored and recorded on a weekly basis. During this inspection there was evidence that hot water temperatures were being monitored on weekly basis, however, the entries to the record were not dated on some occasions. The temperature on some hot water provisions had been recorded as low as 31.1c. The inspector randomly tested several hot water provisions around the building and found that several were running too cool. Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12-month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The failure of staff not having regular formal supervision and updated training may result in them being unable to maintain the quality of service they currently provide. EVIDENCE: At the time of the inspection there were two carers and a manager on duty to meet the needs of the residents. A requirement was made following the previous inspection that any member of staff who was carrying out cooking/kitchen duties was supernumerary to the staff carrying out care duties. During this inspection the manager stated that current member of staff was about to commence fulltime cooking duties in the home. The home had a recruitment procedure that demonstrated that an appropriately completed application form was completed by any candidate and that two acceptable written references and Criminal Records Bureau checks were received prior to any person commencing employment. A requirement has been made in recent reports that all staff files must be updated to include all the information listed in Schedule 2 of the Care Home Regulations. This requirement had not been met and is reiterated in this report. Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 16 The home had not recruited any new members of staff since the previous inspection. The home had several vacancies and were waiting for four newly recruited members of staff to commence employment in the near future. There was evidence that some but not all staff had received training to help them carry out their role. This training included watching videos and completing workbooks on emergency 1st aid, moving and handling and food hygiene in a care home. The manager stated that he was in the process of arranging further training for staff with Salford Training Partnership with regard to moving and handling. Two staff had completed Salford Training Partnerships induction training programme and two staff had completed a CIEH foundation training course in health and safety. Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35,36,38 Policies and procedures do not fully reflect the standards of the service delivered in the home. EVIDENCE: The homes policy is that it does not involve itself in managing any financial accounts for residents. The home does support people their weekly personal allowance and any money transactions are fully documented on an individualised record sheet. A requirement has been made in previous inspection reports that all staff receives formal supervision on a regular basis. During this inspection the manager confirmed that formal supervision sessions were still not taking place and therefore this requirement is reiterated in this report. The manager stated that regular staff meeting took place, however, these meeting had not been recorded. The home purchases a health and safety management system that provides advice and support on all aspects of health and safety. A requirement was Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 18 made in the previous inspection report that all aspects of health and safety are covered by a policy or procedure to ensure that all requirements under the Care Homes Regulations 2001 are met. The manager stated that he was still in the process of reviewing health and safety policy within the home. There was evidence that recent portable appliance testing had taken place and that the passenger lift and bath hoist had been inspected/serviced. Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X 2 X STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 2 X 2 Yes Version 5.1 Page 20 Are there any outstanding requirements from the last Wentworth House DS0000008339.V278660.R01.S.doc inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 4,5 & 6 Requirement The home is required to develop further their Statement of Purpose and Service User Guide to ensure that they contain all the information required about the service. The statement of terms and conditions of the home need to include details of all services and cost to the service in line with the National Minimum Standards for older people. Care Plans and risk assessments are required to be reviewed and updated on a regular basis and contain all the information required about the individuals’ needs and wishes. All medication must be signed for at the time of administration and all medication administration records need to contain the appropriate details of the resident. It is required that hot water temperatures are monitored and recorded on a weekly basis and that residents and staff have constant access to hot water heated to a temperature of 44oc at all times. All personal staff files must be DS0000008339.V278660.R01.S.doc Timescale for action 30/06/06 2. OP2 4,5 & 6 30/06/06 3. OP7 15 15/06/06 4. OP9 13 01/06/06 5. OP25 12 01/06/06 6. OP29 19 15/06/06 Page 21 Wentworth House Version 5.1 7. 8. OP30 OP36 18 18 9. 10. OP36 OP38 18 23 updated to include all documents specified in Regulation 19 and schedule 2 of the Care Home Regulations. It is required that all staff receives regular updated training in all areas relating to their role. It is required that all staff receives appropriate formal supervision sessions on a regular basis that are recorded. It is required that all staff meeting are formally recorded. The manager is required to ensure that all aspects of health and safety are covered by policy or procedure to ensure that all requirements under the Care Home Regulations 2001 are met. 15/06/06 01/06/06 01/06/06 15/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP18 Good Practice Recommendations It is strongly recommended that staff receive awareness training in Salford Social Services Adult Protection policy to ensure that they are aware of who to contact in they have a concern or allegation disclosed to them. Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wentworth House DS0000008339.V278660.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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